Blepharoplasty (Eyelid Surgery) London

Blepharoplasty surgery is used to reshape the eyelids by removing fat, extra skin, or muscle around the eye. After removing the tissue around your eyelids, the surgeon will reshape and tighten them to create a more vibrant appearance. Blepharoplasty is a highly effective treatment for slowing or reversing the signs of ageing. In some cases, the surgery can improve vision for the visually impaired. These could be conditions such as droopy eyelids, puffy eyes, or even Ptosis.

Why is Blepharoplasty so popular?

The older we get, the more the skin around our eyes loses elasticity. With increased age, the muscles around our eyes also become weaker, so they slack more, resulting in eye bags or eye puffiness.

For many, this procedure is for cosmetic reasons, as blepharoplasty tends to yield a younger appearance. Eyelid surgery (commonly called eyelid lift surgery), can potentially remove eye bags, droopy upper eyelids, and excess skin on either eyelid. Eyelid surgery is also used to treat people with mono-lids.

However, some people also decide to undergo this procedure to improve their sight. Vision impairment is caused by loosening the skin around the eyes, reducing their vision.

What types of Blepharoplasty are there?

One of the types of eyelid surgery is called laser blepharoplasty or laser eyelid surgery. A laser is used on the upper and lower eyelid to remove excess skin for this procedure.

Transconjunctival blepharoplasty is the most common form of eyelid surgery. A surgeon makes incisions on either the top or bottom eyelid in this procedure.

Asian blepharoplasty, commonly called double eyelid surgery, is a cosmetic surgery that creates an additional crease on the upper eyelid. This treatment is standard for people who have mono lids. 

Awake blepharoplasty is a procedure in which the patient is under local anaesthetic, meaning they remain awake the entire time. For all of our blepharoplasty procedures, you will be under local anaesthetic.

A general anaesthetic is only used when the patient does multiple procedures. 

How do you prepare for Blepharoplasty Surgery?

Generally, you should: 

  • Avoid some traditional medicine like aspirin, ibuprofen, and naproxen.
  • Keep from smoking two weeks before the procedure.
  • Avoid sun damage two weeks before surgery
  • fast the night before surgery (food and drink)
  • Arrange for someone to take your hope from the hospital and stay with you for 24hours.

Your physician will provide the complete details at the consultation.

What happens during Blepharoplasty Surgery?

Firstly, your eyelids are cleaned and prepped. 

From here, the surgery splits into two parts, upper blepharoplasty and lower blepharoplasty.

The first part is typically the upper eyelid surgery (also known as hooded eye surgery). Your surgeon makes an incision along the eyelids and removes the excess tissue (fat, skin, and muscle) around your eyelid. 

After which, the surgeon makes an incision underneath the lower lash line for the lower eyelid, then removes the excess tissue once again. This procedure is known as under eyelid surgery.

The surgeon will then smooth out the underlying eye muscles and strengthen the supporting structures allowing your eyelids to settle into their new shape.

Finally, the surgeon will reinforce the surrounding muscle and tendon tissues before closing the wound with stitches. The process takes 2-3 hours.

After two weeks of recovery, the patient visibly looks younger. 

What to do after Blepharoplasty Surgery?

You won’t usually need to spend the night at our clinic. However, you may temporarily experience double vision, watery eyes, sensitivity to light, blurry vision, puffy eyelids, swelling and bruising around the eyes, pain, or discomfort after your surgery.

Your doctor may suggest the following post-surgery:

  • Avoid heavy lifting for one week.
  • Refrain from smoking for two weeks.
  • Avoid wearing contact lenses for two weeks. 
  • Wear sunglasses to avoid direct sunlight
  • Avoid taking any medicines that may increase bleeding, such as—
  • Sleep with your head elevated above your chest.
  • Use ice packs regularly for two weeks.
  • Apply cool compresses regularly for two weeks.
  • Avoid rubbing your eyes for two weeks.
  • Refrain from doing exercise for one week.

Your physician will provide the complete details at the post-surgery assessment.

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Blepharoplasty (eyelid surgery) FAQs

How long does Blepharoplasty last?

Though the treatment can be permanent, the treatment typically lasts for five to seven years due to the natural ageing process.

Does Blepharoplasty hurt?

Since we use an anaesthetic, the procedure will not be painful.

Are you awake during Blepharoplasty?

In our clinic, blepharoplasty only requires a local anaesthetic around the eyes, meaning you will be awake throughout the process. This procedure is called awake blepharoplasty.

At what age should you get blepharoplasty?

For this procedure, you need to be at least 18. However, most people get it after 30 when their eyes begin to droop from ageing.

Is it worth getting eye lift surgery?

An overwhelming amount of people are happy with the procedure.

Can hooded eye surgery change the shape of your eyes?

No, blepharoplasty is not intended to change the shape of your eyes.

Can Blepharoplasty cause Ptosis?

It is possible to develop Ptosis from blepharoplasty. However, the cases are pretty meagre, especially when you are under the care of one of our professional eyelid doctors. It is also possible to treat Ptosis using blepharoplasty; this surgery is commonly called Ptosis surgery.

Can Blepharoplasty be done under local anaesthesia?

If there are no other procedures, local anaesthetic is common for blepharoplasty.

Does it hurt to remove stitches after eye lift surgery?

Dissolvable stitches should come off without any pain. If your surgeon uses regular stitches, they will need to remove them after one week. However, it is rare for the removal of stitches to hurt.

Can blepharoplasty be done more than once?

It is possible to repeat cosmetic eye surgery as ageing can cause the eyelids to droop again. Some people may decide to repeat the surgery when they are much older.

Can upper eyelid surgery cause crow's feet?

Blepharoplasty does not cause or fix crows' feet.

What is aftercare like for blepharoplasty?

Aftercare is included in your treatment package, meaning follow-up appointments are common to track your recovery. Our surgeons can treat any immediate complications with no additional charge. In other words, surgery is simply the most reliable treatment if you are looking for a permanent solution.

How to massage my eyelids after blepharoplasty?

Once your eyelids have fully healed(one to two weeks post-surgery), you will be able to massage them. You can massage your eyelids by slowly and carefully rubbing the lower eyelids in an upward and outward direction.

What are the side effects of blepharoplasty?

Blepharoplasty's potential side effects include bleeding/bruising, infection, anaesthetic reaction, vision impairment, skin pigment changes, eye muscle injury, and dry eyes.

Anaesthetic reaction - Reactions are certainly the most dangerous of all immediate side effects with surgical procedures in general. The symptoms following a reaction vary between patients but include a rash, hives, severe itchiness, swelling, drop in blood pressure, shortness of breath, coughing, etc. Fortunately, reacting to anaesthesia is extremely rare and largely preventable.

Scarring - Scarring is common in any surgical procedure. Though there are measures to avoid or minimise scarring during and after your surgery, some scarring is unavoidable for blepharoplasty. In addition, the amount of scarring will depend on the skill of your surgeon. Thankfully, our expert surgeons' focal point is to keep scarring to a minimum.

Change in skin pigment - In some cases, when incisions heal, they may appear as a different pigment compared to the rest of your skin. The scarred skin is typically a lighter pigment than your natural skin pigmentation.

Swelling - Puffiness around the eyes is a typical symptom following eyelid surgery. However, these symptoms are often minor and go away within a few weeks. Over-the-counter medication like ibuprofen can also help reduce your swelling and suppress any pain or discomfort you may have.

Vision impairment - After your surgery, it is common to experience impaired vision, such as blurriness. Fortunately, this is largely temporary. In rare cases, vision impairment may be more severe and potentially permanent.

Infection - Fortunately, infection is an unlikely symptom of blepharoplasty. However, if you are susceptible to infections or have a weakened immune system, you should raise your concerns with your physician as you may need additional care.

Bleeding/bruising - Bleeding and bruising are pervasive but typically minor side effects of blepharoplasty. If your wound opens after surgery but fails to close, you should contact your physician for medical help.

Dry eyes - Dry eyes often occur following eyelid surgery and are easily treated using eye drops found in drug stores. For most, dry eyes are mildly uncomfortable and typically fade within six to eight weeks. However, if your eyes remain dry for longer than two months, you should contact your physician for medical help.

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Why Choose Pulse Light Clinic

Entrance of Marylebone clinic PLC Cosmetic

A UK based Clinic accommodating high experienced eye lid Doctors and Specialists in Cosmetic Eyelid Surgery

The benefits of our Eye Surgery:

Painless procedure

Little downtime, (swelling, blistering and scabbing)

Faster recovery time after treatment

No permanent scarring left on the skin

Effective for all eye-related hindrances, including eye bags, droopy upper eyelids, excess skin on either eyelid, mono-lids, and more

Long term results

More than 20 years experience in cosmetics

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